PHYSICIANS' SURGERY CENTER OF FAYETTEVILLE, LLC


Address: 3733 N Business Dr, Suite #101, Fayetteville, AR 72703-5203
Phone: 4795270050

PHYSICIANS' SURGERY CENTER OF FAYETTEVILLE, LLC (NPI# 1285622845) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1285622845
Entity Type Organization
Organization Name PHYSICIANS' SURGERY CENTER OF FAYETTEVILLE, LLC
Practice Address 3733 N Business Dr
Suite #101
Fayetteville
AR 72703-5203
Practice Telephone 4795270050
Practice Fax Number 4795270030
Mailing Telephone 4795270050
Mailing Fax Number 4795270030
Enumeration Date 2005-10-07
Last Update Date 2009-04-16
Authorized Official Name RUSS GREENE (ADMINISTRATOR)
Authorized Official Telephone 4795270050
Authorized Official Credential R.N.
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QA1903X Clinic/Center
Specialization: Ambulatory Surgical
AR4272 AR Ambulatory Health Care Facilities

Office Location

Street Address 3733 N BUSINESS DR
SUITE #101
City FAYETTEVILLE
State AR
Zip Code 72703-5203

Providers in the same location

NPI Name Taxonomy Address Enumeration
1740738897 Taylor Surgery Center, LLC Anesthesiology 3733 N Business Dr, Suite 101, Fayetteville, AR 72703-5203 2016-09-19
1598095069 Powell Orthopedics, Pa Orthopaedic Surgery 3733 N Business Dr, Suite 102, Fayetteville, AR 72703-5203 2010-01-06
1346372091 Freedom Surgery Center Clinic/Center 3733 N Business Dr, Fayetteville, AR 72703-5203 2007-03-09
1912065012 Shawn Christopher Adams Physical Therapist 3733 N Business Dr, Suite 102, Fayetteville, AR 72703-5203 2006-12-04
1447339544 Robert Taylor Plastic Surgery 3733 N Business Dr, Suite 102, Fayetteville, AR 72703-5203 2006-11-02
1992762629 Mark Wilson Powell Orthopaedic Surgery 3733 N Business Dr, Suite 102, Fayetteville, AR 72703-5203 2006-04-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1477154391 Margaret Sorrells Pharmacist 3909 N Mall Ave Attn:pharmacy, Fayetteville, AR 72703 2020-11-06
1497369631 Justin A Rand Massage Therapist 88 W Colt Square Dr, Fayetteville, Ar 72703, Fayetteville, AR 72703 2020-09-04
1235777558 Washington Regional Medical System Specialist 3264 N North Hills Blvd, Fayetteville, AR 72703 2019-12-17
1760024582 Haley Brooke Thompson Occupational Therapist 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 2019-10-14
1306492129 Bhg L, LLC Clinic/Center 8 Colt Square Drive, Fayetteville, AR 72703 2019-08-16
1306406269 Idell Marie Mitchell Optometrist Eye Clinic, 1100 N College Ave, Fayetteville, AR 72703 2019-06-13
1821574815 Toni Myer Nurse Practitioner 3 E Appleby Rd Ste 101, Fayetteville, AR 72703 2018-07-13
1306340393 Josh Kelfer Student in an Organized Health Care Education/Training Program 1125 North College Avenue, Fayetteville, AR 72703 2018-03-22
1649726449 Vantage Point of Nwa Community/Behavioral Health 4171 N. Crossover Rd, Fayetteville, AR 72703 2016-08-31
1386097137 Jason Nordstrom Speech-Language Pathologist 2664 N Valencia Ave, Fayetteville, AR 72703 2016-07-18
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Taxonomy Information

Taxonomy Code 261QA1903X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Ambulatory Surgical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1477178879 Surgcenter of Fayetteville, LLC Clinic/Center 1905 E Mission Blvd Ste 5, Fayetteville, AR 72703-3129 2020-06-11
1750905618 Rsps Fayetteville Asc Lllp Clinic/Center 874 Lanier Ave W Ste 270, Fayetteville, GA 30214-7617 2020-06-05
1396298139 Resurgens Fayette Surgery Center, LLC Clinic/Center 1336 Highway 54 W Bldg 400, Fayetteville, GA 30214-4535 2016-07-28
1447630876 Ortho Atlanta Surgery Center of Fayetteville Clinic/Center 1265 Highway 54 W Ste 103, Fayetteville, GA 30214-4537 2015-06-01
1801196050 Agcny East LLC Clinic/Center Northeast Medical Building Condominium, Suite 308, Fayetteville, NY 13066-6638 2010-10-21
1265679674 Georgia Urology Fayette Asc Clinic/Center 140 Carnegie Pl, Suite 108, Fayetteville, GA 30214-7913 2009-01-07
1093907339 Taylor Surgery Center, LLC Clinic/Center 3733 N Business Dr Ste 101, Fayetteville, AR 72703-5286 2007-08-10
1386737021 Arkansas Outpatient Eye Surgery LLC Clinic/Center 3689 N Steele Blvd, Fayetteville, AR 72703-5347 2006-10-02
1033154364 Paula Pons Physician LLC Clinic/Center 4206 Medical Center Dr Ste 203, Fayetteville, NY 13066 2006-06-19
1447791074 Pca Interventional Spine At Fayette, LLC Clinic/Center 1233 Highway 54 W, Suite 205, Fayetteville, GA 30214-4542 2017-03-15
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Competitor

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City FAYETTEVILLE
Zip Code 72703

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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